National Provider Identifier [NPI]: |
1730341496 |
Last Name Of The Provider |
REDDY |
First Name Of The Provider |
ADITHYA |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2550 WINDY HILL RD SE |
Street Address 2 Of The Provider |
SUITE 215 |
City Of The Provider |
MARIETTA |
Zip Code Of The Provider |
300678665 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
85 |
Number Of Services |
17522 |
Number Of Medicare Beneficiaries |
1041 |
Total Submitted Charge Amount |
2465904.76 |
Total Medicare Allowed Amount |
605289.02 |
Total Medicare Payment Amount |
532511.66 |
Total Medicare Standardized Payment Amount |
456210 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
753 |
Number Of Medicare Beneficiaries With Drug Services |
81 |
Total Drug Submitted ChargeAmount |
5861 |
Total Drug Medicare AllowedAmount |
493.36 |
Total Drug Medicare PaymentAmount |
377.74 |
Total Drug Medicare Standardized Payment Amount |
377.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
77 |
Number Of Medical Services |
16769 |
Number Of Medicare Beneficiaries With Medical Services |
1041 |
Total Medical Submitted Charge Amount |
2460043.76 |
Total Medical Medicare Allowed Amount |
604795.66 |
Total Medical Medicare Payment Amount |
532133.92 |
Total Medical Medicare Standardized Payment Amount |
455832.26 |
Average Age Of Beneficiaries |
57 |
Number Of Beneficiaries Age Less65 |
762 |
Number Of Beneficiaries Age 65 to 74 |
229 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
560 |
Number Of Male Beneficiaries |
481 |
Number Of Non Hispanic White Beneficiaries |
934 |
Number Of Black or African American Beneficiaries |
84 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
357 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
684 |
Percent Of With Atrial Fibrillation |
4 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
4 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
44 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.2356 |